HomeMy WebLinkAboutMortgage_Marvel (2).••���a STATEMENT OF MORTGAGE OR CONTRACT
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a!r•`' y: INDEBTEDNESS FOR DEDUCTION FRdM ASSESSED
�`•� � VALUATION State Form 43709 (1-90) Prescribed by the
e� State Board of Tax Commissioners
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Instructions for filing:
To be filed in person or by mail with the County Auditor of the county where the
property is located during the 12 months before May 11 of the year the deduction
is to be effective. See reverse for additional instructions and qualifications.
Applicant (Owner or
�
Taxing District
Assessed value �
of March 1. curr n�
on
Key Number/Legal
No.
�.�
property as Mortgage/Contract Indebtedness unpaid I Is the applicant the sole legal or
as of Maye�1 „eurr�t,�+�� „ equitable owner? O yes O no
If no, what is hislher exact share or
If owned with someone other than spouse,
indicate with whom.
If name on record is different than that of applicant, indicate below:
�7e of rr
Address of
Name of A
or contract
or
seller
ee or other owner or holder of Mortgage.
Address of Assignee
Does applicant own !eal property If yes, what county. What Taxing District. Has this deduction been
in any other county in Indiana? requested on property for current
year? O yes O no
COUNTY BOARD OF REVIEW ACTION
Deduction approved in the amount of:
19��_q�i 19 C!� 19��fJfJ� 1
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Signature Secretary of Bo rd of Review Dat 6 0� p�
� �-��-98 �.��e. � � �°°� ao°1� --�
I/We,certify under penalty of perjury that the above and foregoing information is true and correct and that the appli-
:�'� was/were a resident of Indiana and owner of the aforementioned property on March 1, 19 .
S�yn ure (owners ful �e) _ D Person authorized by duly executed Power of Attorney or
,9 __ „/, . �1�Y1/1 i .. ., by IC 6-1.1-12-.07).
Address of
r
Address of Authorized Person